Need help PHP code for FORM, pls read

[Josephpham]

I am a student and I need the PHP code (test.php) for this html:
<form method=POST action="http://www.testsite.com/php/test.php">
Company: <input type= "text" name = "Array[company]" size="20">
Phone : <input type = "text" name = "Array[phone]" size="20">
Email : <input type = "text" name ="Array[mail]" size="20">
Fax number: <input type = "text" name = "Array[fax]" size="20">
Invoice number: <input type = "text" name = "Array[invnum]" size="20">
Invoice Date: <input type = "text" name = "Array[invdate]" size="20">
Model Number : <input type = "text" name = "Array[model1]" size="20">
Serial Number: <input type = "text" name = "Array[serial1]" size="20">
Reason for Return: <textarea rows=1 cols=50 name="S4"></textarea>
<input type="radio" name="type" value="refund" checked> Refund
<input type="radio" name="type" value="exchange" checked> Exchange
<input type="radio" name="type" value="credit" checked> Credit
<input type="checkbox" name="rmanum" value="yes" checked></font>
Request For RMA number <input type ="submit"> <input type = "reset">
</form>

These information will need to send to my email address. Please help me. Thank you in advance

[erick_w]

Here's a simple way to do it:

test.php

<?
// Define the destination address and email Subject

$to="[e-mail]"; // put your email address here
$subject="WebForm Submission"; // Change this to whatever you want

$body="

Company: $Array[company]
Phone : $Array[phone]
Email : $Array[mail]
Fax number: $Array[fax]
Invoice number: $Array[invnum]
Invoice Date: $Array[invdate]
Model Number : $Array[model1]
Serial Number: $Array[serial1]
Reason for Return: $S4
Type : $type
$rmanum

        ";

$email_header="From: My Website\nContent-Type: text/plain; charset=us-ascii\nX-Mailer: PHP/" . phpversion(); //This will be the email header, you can change "My Website" to whatever you want

// ..then send the email

mail($to,$subject,$body,$email_header);

?>

Script above is to send form submission to you email address in plain text email. You can freely modify the $body part.....

Hope it helps! 🙂

[Josephpham]

Thank you for your help. I will try. Joseph

[Josephpham]

Hello Erick_w. I have tried this code, but I did not receive thru my mail. I tried different email address. Would you please check the code that you sent me if it is missing anything. Please help. Thank you

[erick_w]

I've tested my code here and it works :

<?

// Define the destination address and email Subject

$to="[e-mail]"; // put your email address here
$subject="WebForm Submission";
$sender=$Array[mail];

$body="

Company: $Array[company]
Phone : $Array[phone]
Email : $Array[mail]

Fax number: $Array[fax]
Invoice number: $Array[invnum]
Invoice Date: $Array[invdate]
Model Number : $Array[model1]
Serial Number: $Array[serial1]
Reason for Return: $S4
Type : $type
Request For RMA number : $rmanum

";

$email_header="From: $sender\nContent-Type: text/plain; charset=us-ascii\nX-Mailer: PHP/" . phpversion();

// ..then send the email
mail($to,$subject,$body,$email_header);

echo "The form is successfuly sent!";

?>

Make sure you enter the right email address!

Hope it helps! 😉

[klansman]

hi.

i also have a working php script which almost does what you are asking... mine is just to send a regular e-mail, but you can extrapolate this script into someting with a bigger/different form.

the code: (a little bit trimmed down)

// email.php
<?php

if(!isset($POST["msgtext"]))
{
$state=0;
// we are starting the form script - i.e. no data yet
// $state variable explanation below
}
else
{
// we have data, but is it ok?
if(($POST["return_address"]) && ($POST["from"]) && ($POST["subject"])) {
// all variables are filled, but are they ok?
// return address must have both a "@" and a "." (at least)
if(!strchr($POST["return_address"],'@') || !strchr($POST["return_address"],'.')) {
$state=3;
// return address not valid
}
else
{
$state=1;
// we have verified the information and it is appearently ok
$top_title="feedback ok";
}
}
else
{
$state=2;
$top_title="feedback error";
}
}

   // disallow caching
   header( "Expires: Mon, 20 Dec 1998 01:00:00 GMT" );
   header( "Last-Modified: " . gmdate("D, d M Y H:i:s") . " GMT" );
   header( "Cache-Control: no-cache, must-revalidate" );
   header( "Pragma: no-cache" );

// The $state variable tells us how to handle the script:
//
// $state=0 - the script is beginning. no data yet.
// The script will show the form for people to fill in and then
// click the submit button.
//
// $state=1 - the script was filled and submitted. The data is
// available to work with and has been verified (above) and
// found valid
// The script will send the e-mail
//
// $state=2 - important fields were not filled.
// the script will stop with an error message
//
// $state=3 - the script was filled and submitted. the data is
// available to work with but was verified and found invalid.
// The script will show an error message telling the user that
// the form was miss-filled.
// the script will stop with an error message
//

// Let's check the $state variable to check out what to do
switch ($state) {

case 0:

?>
// - ** - trimmed html form code - ** -
// i.e. you should write your form here
// important fields are:
<form method=post action="email.php">
// identification - nickname
<input type="text" name="from">
// return address
<input type="text" name="return_address">
// message subject
<input type="text" name="subject">
// message
<textarea rows="11" cols="60" name="msgtext"></textarea>
// submit button
<input type="submit">
</form>
<?php
break;
case 1:
// send mail
if(mail(/ DESTINATION E-MAIL HERE /[e-mail],"WEB: $POST[subject]","$POST[from] wrote: \n$_POST[msgtext]$
// show html telling that e-mail sending was ok
}
else
{
// show html telling that e-mail was not sent. there was some
// problem: i.e. mail returned a false value
}
break;
case 2:
// warn user that he/she should fill the form again
// give form link
break;
case 3:
// warn user that return address is not valid and that
// he/she should fill the form again
// give form link
break;
default:
break;
}
?>

That's it.

Note however that one can improve this script by including the html form code in a function and if there is an error, you could show the form again, just after the error message, and if you really want to waste time, you can fill the form with the previous valid values, so that the user doesn't have to fill them all again.

If you want to see it working, check out at http://arrakis.dhis.org/email.php

hope it helps...

good luck!